Hi everyone! New ako dito. So glad I found this forum. I'm a pinay living in the U.S. and would like to get your opinion. I'm planning on flying to Manila to get a rhinoplasty next year but still undecided on which surgeon to choose. I'm thinking of going to either Belo Med or Shimmian Manila. Has anyone here ever gotten a nose job from either of them? Dr. Yap (Belo) and Dr. Lansangan (Shimmian) both seem to be good surgeons, pero hindi ako sure kung sino and pipiliin ko. Any good/bad experiences? Which one do you prefer? I just don't want to go by their websites.. gusto kong marinig yung experiences or opinions ng iba. I'd really appreciate any input. Thanks in advance! :)

BeloMed caters to showbiz people too much. It's safe to say, they have better bedside manners to famous clients compared to regular patients.[/QUOTE]

Thanks for the insight accord_ex. Ganon ba talaga sa Belo Med? It's really helpful to hear other people's opinions. I was just considering Belo because I was thinking since they're well-known, then they probably would want to satisfy "all" their patients, whether they be celebrities or not, to keep up their reputation. I did browse through that site, and since that girl is not completely satisfied with the results and wanting revision, hindi na yata si Dr. Yap isa sa mga contenders ko, lol. About the implant, I don't want silicon.. I definitely want gore-tex. That's also one of the reasons I was wanting to go to either Dr. Yap or Dr. Lansangan, because they both do gore-tex. I guess now, my top choice is Dr. Lansangan from Shimmian Manila.
What do you think of Dr. Lansangan? I'd like to get your opinion on him. Everyone, please feel free to comment also. Salamat po! :)

Nov 30, 2008

flipnvywf

[QUOTE=accord_ex;31562887]I'm not saying you should rule out Belo. Every nose is unique. What didn't work for one patient might work well for you. You should get as many consults as you can and go with your gut feeling. I haven't consulted w/ Dr. Lansangan so I have no opinion.[/QUOTE]

Good point there accord_ex. And don't worry, I know you weren't saying I should rule out Belo. I just said that I'm not considering Belo anymore because after some thought, I realized that they probably are kind of overrated and overpriced, like you said. I really don't care about the price too much because what I'm most concerned about is to find a really good surgeon.. but knowing that there have been some unsatisfied people that have gone there for their nose job really discourages me. I know every nose is unique, and what didn't work for one patient might work well for me, but if you're talking about silicon implant, I've already decided that I don't want that. I want gore-tex, so that's another reason I was considering Dr. Lansangan too. Again, thanks for the advice. If anyone has any advice or has any experience with Dr. Lansangan, please don't hesitate to comment. :)

Actually his the pioneer of using cartilage implant in the country today. He is also a burn specialist. Siya ang doctor ni Chin2x Guttierez nung masunugan siya ng balat and yung recent accident ni Joyce Jimenez.

I pm'd you. Shimmian is actually one of my choices for my rhino also, so I'd like to know kung ano ang nakakatakot dun.

Dec 18, 2008

mariakarla

dr de gracia rhino

my sister had a noselift done by dr de gracia of the medical city...she had paid 50 thou before but the doctor had only done a bridge on her nose... then my sister went back to saudi arabia, then started complaining of the cartilage incision..i think parang nadislocate or whatever..so she went back to dr de gracia after a year for a retouch.. having the injection as in super sakit daw as in she wants to die of the pain ,and what the doctor did was to PULL the cartilage back to its place.....as of now, nakita ko, di pantay butas ng ilong ng sister ko and she's not really satisfied with the result...
so out of my list na si doc.. and thinking of going either with dr de leon or dr joaquino..doc joaquino is charging me a hefty 60 thou...mahal ha...still waiting for dr de leon's quote...has someone heard of dr edwin magallona?

Dec 18, 2008

dands

mariakaria??

anu ginamit? cartilage to augment the nose?
naako..

i hate cartilage kc over a peroid of time.. it will decrease volume.. thn cartilage is hard to reshape for the nose..

^Nose surgery or rhinoplasty may involve different types of procedures. Among them are bridge augmentation, alar plasty and tip plasty. Tip plasty in particular is simply the one that handles or modifies the tip of the nose. For those who have round or bulbous tips, this would probably be needed. If you aren't sure if you are going to require this, better to consult your cosmetic surgeon of choice and he will give you his professional assessment.

Dec 30, 2008

flipnvywf

Hi Dr. J. I'm planning to have a rhinoplasty done next year sa Pinas when I go on vacation, so I've been researching different types of nose implants. I've read from different forums about people needing a revision after having their silicone implant for a number of years due to extrusions or the implant making their nose crooked. This leads me to believe that silicone is not permanent, so I'm kind of leaning towards getting gore-tex. I don't want to have to worry about complications 10-15 years after surgery. Is there any truth to this about silicone? If the surgeon is skillful, is it possible for the silicone to last forever? I'd appreciate your input. Thanks Doc.

Dec 31, 2008

yssamer_lyn

regarding goretex

hi,

I hope you read previous question and answer in regarding goretex in this forum. I was able to differentiate Goretex, Cartilage implant and Silicon Implant for rhinoplasty.

Shimmian is the pioneer of Goretex use for rhino here in the Philippines. Most Goretex Rhinoplastic Surgeons are ENT specialist. There is this group in ENT which is called FACES(Facial Easthetic Core of ENT Surgeons) who trained well in Goretex noselift. One of the surgeon faculty is Dr. Lansangan who own's shimmian and who is also an ENT. Dr. Yap of Belo is also a faculty of that group. Dr. Jay Galvez is also a member faculty.

Silicon is still a good implant but should be done with experienced surgeon. If you know a friend who had a silicon implant try moving his/her nose. If the implant moves with his nose very easily, don't go to his surgeon. Silicon is good as long as it is embedded beneath the subperiosteum( covering of the nasal bone).

I hope you can find time to read some articles here. or you can email me at [email][email protected][/email] for any further questions.

Tip plasty is the enhancement of the tip on the nose. There are several ways to enhance the tip.
1. Suturing the dome( the cartilages that that made up the tip)
- this is a simple procedure that entails suturing the cartilages together to protrude the tip and decrease the roundness of the nose.
2. Lower cartilage trimming- this will give shape to the nose by giving a sexy shape to your nose-it enhances the lines on top of the nostrils and it also decrease the roundness of the nose.
3. Cartilage Graft- if there are no deformities in the nasal dome cartilages, a surgeon can place cartilages on the top of the existing cartilage to enhance the tip. Usually, we use ear cartilage for this. Cartilage can also be used as extension spreader graft to elongate the tip of the nose.

Most of the problem of the Silicon lies on the problem of the tip. Most Rhinoplastic surgeons use the Silicon as well to enhance the tip. If you will observe, the nose has two distinct part, the nasal bone( which is non mobile and fixed) and the nasal cartilage(the mobile part). Just imagine if the hard Silicon implant will be use to enhance the tip which is very mobile, the silicon will just erode thru the skin because of frequent motion and will result to extrusion. Of course there are several ways to prevent this, which a well informed patient should asked their surgeons. Experienced surgeon will do tip plasty as mentioned above.

I am hoping that I would have may nosetip altered without the use of any implants (especially those made of foreign materials). And I would like the results to be permanent so I'm afraid of extrusion, et cetera for I'm clumsy. I'm glad that there is still a possibility of this.

Jan 12, 2009

aprildemalic

help urgent

Hi mga friends in new to this forum and i read all u guyz post, i want to have a nose job pls u guyz have good doctors to recommend. im thinking about going to shimmian but it seem i change my mind coz now one i this site recommended him.and to those had there nose job done pls send me u guys pictures plz.thank you i will appreciate any reply

Medpore has been in the Philippines for almost 15 years already. Yes, it is a porous material but it is very hard. The margin of error in medpore is very narrow. Meaning, it is very difficult to shape according to ones nose. Plus, do you like your nose stony hard? I-shape naman talaga dapat ang gamitin. Goretex is a softer version of Medpore.

Yes, Silicon should be inserted UNDER the periosteum NOT OVER.

Dr. H

[QUOTE=accord_ex;32674779]Is Medpor I-shaped implant being used in the Philippines nowadays? The implant is hard as bone but has holes in it to let the tissues grow into, to make it less mobile than silicon. The plastic surgeon I consulted with wants to use I-shaped implant + ear cartilage for columellar strut. I just want to know if a local plastic surgeon in the Philippines is very experienced with the same process, Medpor + ear cartilage.

@Dr. H: Silicon is good if it's under or over the periosteum? Another doctor I consulted w/ said he'll put the silicon [B]over [/B]the periosteum of nasal bone.[/QUOTE]

I just want to mention that a girl I met on another forum showed me pics of her nose after she had her nose done by Dr. Yap and my gosh, ang ganda! Talagang satisfied sya. I saw the before and after pics, so I know talagang gumanda ang nose. I've decided I'm going to get my nose done at Belo. Mas mahal nga, but I know it's worth it since maganda ang gawa ni Dr. Yap. I was also thinking of getting silicone at first because of the price, but I've realized the risk is too great for me to consider it. Anyway I still have months to go until my vacation in Pinas. So excited.

Jan 23, 2009

rictos16

rhino, 30 min. procedure to and a minor case pero it costs a lot of money... haha

Jan 23, 2009

yssamer_lyn

Silicon is still considered safe implant. The problem with Silicon is more on how your surgeon put it inside your nose. One patient here in this forum was scheduled for gortex rhino but he trasferred to other MD who used the silicon. One week after her surgery lumabas na yung strut nung implant sa nostrils nya. Doble gastos pa sya. Eventually she decided to have Goretex rhino.

You want a good silicon rhino surgeon... Go to dr. Yap, dr. galvez and dr. abogado. Yes, dr. yap still do silicon rhino.

It's good to know silicone is still considered a safe implant. If I were to get silicone for my first rhino and get goretex later down the road, do you think the result will still look good putting goretex implant after having silicone for so long?

Also, is goretex revision doable after having it for so many years? Or will it be extremely difficult with it integrating into the tissue? I'm just worried that if I got goretex now, and for some reason, my nose starts to change when I'm older, it would be hard to get a revision with goretex.

Thanks Doc!

Jan 27, 2009

yssamer_lyn

The better way to have rhinoplasty is to do it RIGHT on the first time.

If you choose silicon- do it right for the first time by choosing a very good surgeon. In this case, you wont be needing to replace it to Goretex. I've seen patients who had silicon rhino done 40 years ago but still it looks good with no complications. Today, dami na kasi fly by night cosmetic surgeon. Mostly, these are those who will tell you that they can do rhino in 30 MINUTES only. To a skilled and well trained rhinoplastic surgeon, doing it would usually last for 1-2 hrs. Yes, you can easily replace silicon with goretex BUT why changed it if ok naman ang silicon rhino mo?

If you choose goretex rhino- do it also right by choosing your right surgeon. No, it's not that difficult to remove the goretex after a long period of time(I can only speak for myself :bop:). But Goretex is supposed to be a lifetime worry free rhino. Most common reason why we removed goretex is because it was not done properly by "other" surgeon or the patient was not happy with the results. Aside from that, we seldom remove it due to MILD infection. Antibiotics can easily handle the problem.

If you have the money now, use goretex.
If budget is short, use silicon. Common denominator- choose the right surgeon.

It's good to know silicone is still considered a safe implant. If I were to get silicone for my first rhino and get goretex later down the road, do you think the result will still look good putting goretex implant after having silicone for so long?

Also, is goretex revision doable after having it for so many years? Or will it be extremely difficult with it integrating into the tissue? I'm just worried that if I got goretex now, and for some reason, my nose starts to change when I'm older, it would be hard to get a revision with goretex.

Thanks Doc![/QUOTE]

Jan 27, 2009

yssamer_lyn

Disclosure

HELLO TO ALL!

For the record- I'M NOT AN EMPLOYEE OF EITHER MEDICAL GROUPS MENTIONED HERE. I don't received any monetary rewards by answering your questions neither that I receive referral fees by referring you to them. I can refer you to either groups but it depends on your needs. I'm just answering all questions in all honesty which among the different medical groups can handle each of your "noses" according to your desires. But of course i answer them in Private Message of this forum.(some thru my email)

I'm just happy to share my expertise. Just like Dr. J here.

I have my own Medical Group but I practice in GENERAL SANTOS CITY and DAVAO CITY.

The reason I posted this is to answer some private inquiry if am I an employee of either groups here.